- Excellus BlueCross BlueShield (Dewitt, NY)
- …ability to explain same. Level III - performs similar functions as the Network Services Analyst I & II and can be differentiated by the following: + Facilitates ... with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Project Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Technical Project Analyst (TPA) II supports projects with Project Managers and/or business partners… more
- Intermountain Health (Boise, ID)
- …of the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II 1.Analyze data, develop reports, review trends, and ... (HFMA). Three (3) years of direct related experience in revenue cycle operations in an acute and medical office. **Preferred** Bachelors Degree is preferred… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …written, verbal & presentation communication skills. **Master Data Management Analyst II ** . Bachelor's Degree in Business, Operations and/or Supply Chain or ... . Performs other duties as assigned. **Master Data Management Analyst II ** The MDM Analyst ...Performs other duties as assigned. **Qualifications** **Master Data Management Analyst I** **.** Bachelor's Degree in Business, Operations… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply ... MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES...quality and safety standards consistent with the Centers for Medicare and Medicaid Services requirements. Assisting in the management… more
- The County of Los Angeles (Los Angeles, CA)
- …One year of professional accounting** or responsible staff experience in health care financial operations . PHYSICAL CLASS: Physical Class II - Light: This class ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722417) Apply HEALTH CARE… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... ANALYST /COMMUNITY PROGRAMS Salary $76,615.68 - $103,240.32 Annually Location Los...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply HEALTH CARE ... FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $76,615.68 - $103,240.32...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- MyFlorida (Fort Pierce, FL)
- …the Area 15 HIV/AIDS Program Office. This position reports to the Operations Management Consultant II Completes comprehensive Needs Assessments of individuals ... HUMAN SERVICES ANALYST - 64006335 Date: May 30, 2025 The...used appropriately. Screens for Medicaid eligibility, PAC Waiver eligibility, Medicare A, B, and D eligibility. Verifies VA benefits.… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Management Analyst ** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the guidelines… more
- State of Colorado (Pueblo, CO)
- …Assurance Policy Specialist/Auditor/Health Professional II - Forensic Services Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4940917) Apply ... Quality Assurance Policy Specialist/Auditor/Health Professional II - Forensic Services Salary $57,564.00 - $80,592.00 Annually Location Pueblo, CO Job Type Full Time… more
- Medical Mutual of Ohio (OH)
- …the resolution of hardware and software problems. Performs Helpdesk functions. **IT Operations Technician II ** Maintains, monitors, executes, and contributes to ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....is issued. + Performs other duties as assigned. **IT Operations Technician II ** + Applies technical concepts… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER III, FACILITIES OPERATIONS AND CRAFTS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4855820) Apply MANAGER III, FACILITIES ... OPERATIONS AND CRAFTS Salary $136,076.88 - $183,393.84 Annually Location...pertinent local, state, and federal regulations and codes. Option II : A Bachelor's degree from an accredited college in… more
- The County of Los Angeles (Los Angeles, CA)
- …implementation, and management of the budget for the program support service operations , clinic, or programs overseen; ensures that budget and contract allocations ... procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery… more
- The County of Los Angeles (Los Angeles, CA)
- …periodic spot reviews of health facilities in the district. Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions related ... the Los Angeles County class of Health Facilities Evaluator, Nursing** -OR- Option II : One year of work experience* as a registered nurse enforcing local licensing… more
- The County of Los Angeles (Los Angeles, CA)
- …laws, regulations and standards governing licensing, accreditation and certification for Medicare and Medi-Cal and in various acceptable methods of maintaining, ... improving, or modifying nursing operations . + Plans, develops, and conducts orientation and in-service...in an administrative*, Supervisory**, or consultative capacity. OR Option II : A Master's Degree in Nursing from an accredited… more
- The County of Los Angeles (Los Angeles, CA)
- …of subordinate supervisors and other personnel. + Monitors and evaluates program operations for compliance with licensure and regulatory standards. + Manages the ... enforcement actions for the Division, including processing license revocations, Medicare and Medi-Cal de-certifications, and criminal complaints; and provides… more
- The County of Los Angeles (Los Angeles, CA)
- …laws, regulations and standards governing licensing, accreditation and certification for Medicare and Medi-Cal and in various acceptable methods of maintaining, ... improving, or modifying dietetic and food service operations . + Reviews and analyzes written reports prepared by...carry out job-related essential functions. PHYSICAL CLASS: Physical Class II - Light: This class requires light physical effort… more